Information Prescriptions: The Key to Unlocking Behaviour Change

Summary

The resource was developed by Diabetes UK to change both clinical and patient behaviour. Collaborative design was used to ensure it was easy for clinicians to use as a brief behaviour change intervention with patients who have diabetes and are at higher risk of complications. The tool consists of three information prescriptions (IPs), relating to the key targets in diabetes - HbA1c, blood pressure and cholesterol. To maximise impact and reach, the team worked collaboratively with the primary care IT companies to embed it in their systems. This enabled the proactive targeting of high-risk patients as clinicians receive real-time alerts for patients with diabetes who are outside the NICE targets. It also significantly increases the speed and effectiveness of the intervention as key patient data can be automatically populated on the IPs and a completed IP is saved on the medical record to support continuity of care.

Challenge

Data shows that we are not effectively supporting self-care: the latest National Diabetes Audit (2014-15) showed that only 39.5% of people with diabetes achieve the targets for blood pressure, cholesterol and HbA1c. This is despite these being the factors that place people at risk of devastating complications and the fact they are treatable with routine drugs (eg statins) and lifestyle interventions. There was frustration among doctors and patients that the number of tests and the pressures on time mean that diabetes care becomes nothing but a process of ticking boxes with no opportunity to explore what matters to the patient or to change behaviour and therefore clinical outcomes.

Objectives

To develop a tool that could reach patients across the UK and enable them to better understand and engage with their diabetes care, with the ultimate goal of changing behaviour and clinical outcomes.

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QiC Diabetes Winner 2016
Diabetes Collaboration Initiative of the Year
Information Prescriptions: The Key to Unlocking Behaviour Change
by Diabetes UK


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